Pediatric Infection and Vaccine

The Korean Society of Pediatric Infectious Diseases (대한소아감염학회)
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Retroperitoneal Abscess Masquerading as Pyelonephritis

신우신염으로 오인된 복막뒤농양

  • Lim, Deok-Gyo (Department of Pediatrics, CHA Bundang Medical Center, CHA University School of Medicine) ;
  • Lee, Taek-Jin (Department of Pediatrics, CHA Bundang Medical Center, CHA University School of Medicine)
  • 임덕교 (차의과학대학교 분당차병원 소아청소년과) ;
  • 이택진 (차의과학대학교 분당차병원 소아청소년과)
  • Received : 2021.09.27
  • Accepted : 2021.10.05
  • Published : 2021.12.25
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Abstract

Retroperitoneal infections are rarer than intra-abdominal infections in children; however, they can lead to significant morbidity in cases of missed diagnosis. We present a case of retroperitoneal abscess caused by extended-spectrum β-lactamase-producing Escherichia coli in a 10-year-old female adolescent who failed to show clinical improvement following empirical antibiotic therapy.

소아에서 복막뒤감염(retroperitoneal infections)은 복막내감염(intraabdominal infections)에 비해 매우 드물지만 진단이 늦어질 경우 치명적일 수 있다. 저자들은 외부병원에서 급성 신우신염으로 약 3주 간 항균제 치료에도 호전이 없었던 만 10세 여아에서 광범위 베타락탐 분해효소 분비 대장균(extended-spectrum β-lactamase-producing Escherichia coli)에 의한 복막뒤농양 1례를 경험하였기에 보고하는 바이다.

Keywords

References

  1. Brook I. Microbiology of retroperitoneal abscesses in children. J Med Microbiol 1999;48:697-700. https://doi.org/10.1099/00222615-48-7-697
  2. Greenstein AJ, Dreiling DA, Aufses AH Jr. Crohn's disease of the colon. V. Retroperitoneal lumbocrural abscess in Crohn's disease involving the colon. Am J Gastroenterol 1975;64:306-18.
  3. Wippermann CF, Schofer O, Beetz R, Schumacher R, Schweden F, Riedmiller H, et al. Renal abscess in childhood: diagnostic and therapeutic progress. Pediatr Infect Dis J 1991;10:446-50. https://doi.org/10.1097/00006454-199106000-00006
  4. Cheng CH, Tsai MH, Su LH, Wang CR, Lo WC, Tsau YK, et al. Renal abscess in children: a 10-year clinical and radiologic experience in a tertiary medical center. Pediatr Infect Dis J 2008;27:1025-7. https://doi.org/10.1097/INF.0b013e31817b617b
  5. Brook I. The role of anaerobic bacteria in perinephric and renal abscesses in children. Pediatrics 1994;93:261-4. https://doi.org/10.1542/peds.93.2.261
  6. Mondor C, Gauthier M, Garel L, Filiatrault D, Grignon A. Nonsurgical management of neonatal adrenal abscess. J Pediatr Surg 1988;23:1048-50. https://doi.org/10.1016/S0022-3468(88)80026-5
  7. Holliday PO 3rd, Davis CH Jr, Shaffner LS. Intervertebral disc space infection in a child presenting as a psoas abscess: case report. Neurosurgery 1980;7:395-7. https://doi.org/10.1227/00006123-198010000-00015
  8. Simons GW, Sty JR, Starshak RJ. Retroperitoneal and retrofascial abscesses. A review. J Bone Joint Surg Am 1983;65:1041-58. https://doi.org/10.2106/00004623-198365080-00004
  9. Hoffer FA, Shamberger RC, Teele RL. Ilio-psoas abscess: diagnosis and management. Pediatr Radiol 1987;17:23-7. https://doi.org/10.1007/BF02386590
  10. Kang M, Gupta S, Gulati M, Suri S. Ilio-psoas abscess in the paediatric population: treatment by USguided percutaneous drainage. Pediatr Radiol 1998;28:478-81. https://doi.org/10.1007/s002470050389
  11. Pannaraj PS, Hulten KG, Gonzalez BE, Mason EO Jr, Kaplan SL. Infective pyomyositis and myositis in children in the era of community-acquired, methicillin-resistant Staphylococcus aureus infection. Clin Infect Dis 2006;43:953-60. https://doi.org/10.1086/507637
  12. Edelstein H, McCabe RE. Perinephric abscess in pediatric patients: report of six cases and review of the literature. Pediatr Infect Dis J 1989;8:167-70.
  13. Bresee JS, Edwards MS. Psoas abscess in children. Pediatr Infect Dis J 1990;9:201-6. https://doi.org/10.1097/00006454-199003000-00011
  14. Altemeier WA, Alexander JW. Retroperitoneal abscess. Arch Surg 1961;83:512-24. https://doi.org/10.1001/archsurg.1961.01300160024004
  15. Dinc H, Onder C, Turhan AU, Sari A, Aydin A, Yulug G, et al. Percutaneous catheter drainage of tuberculous and nontuberculous psoas abscesses. Eur J Radiol 1996;23:130-4. https://doi.org/10.1016/0720-048X(96)01045-5
  16. Crepps JT, Welch JP, Orlando R 3rd. Management and outcome of retroperitoneal abscesses. Ann Surg 1987;205:276-81. https://doi.org/10.1097/00000658-198703000-00010
  17. Han YM, Kim AY, Lim RK, Park KH, Byun SY, Kim SH, et al. Neonatal iliopsoas abscess: the first Korean case. J Korean Med Sci 2015;30:1203-6. https://doi.org/10.3346/jkms.2015.30.8.1203
  18. Lee DW, Cho SW, Lee SH, Kang DB, Yu ST. Panperitonitis due to perforation of Meckel diverticulum in infant period. J Korean Assoc Pediatr Surg 2015;21:38-41. https://doi.org/10.13029/jkaps.2015.21.2.38